Compound tibial fractures with bone loss treated by the Ilizarov technique

Dagher, Fernand; Roukoz, Sami

doi:10.1302/0301-620x.73b2.2005164

Cited by 102 publications

(38 citation statements)

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“…O método da distração osteogênica difundido por Ilizarov (2) , nos anos 80, usando um fixador externo circular, proporciona liberdade funcional ao paciente, corrige as deformidades e o encurtamento e cura a infecção, por meio da ressecção do osso desvitalizado seguida do transporte gradual de um fragmento ósseo após corticotomia (5,(11)(12)18) . Autores afirmam que, para erradicar a infecção, há necessidade da ressecção dos tecidos desvitalizados e infectados (5)(6)10,13,18) .…”

Section: Discussionunclassified

“…A maioria dos autores que utilizam o método de Ilizarov acredita que é difícil o tratamento da pseudartrose infectada da tíbia com perda óssea maior que 3cm (5)(6)(12)(13)(14)16) .…”

Section: Complicaçõesunclassified

“…Em nosso estudo, o tempo mínimo de uso do aparelho foi de seis meses e o máximo, de 18 meses, com a média de 10,75 meses, o que está de acordo com os dados da literatura atual (11)(12) . O momento indicado para retirada do fixador externo permanece sendo de difícil determinação.…”

Section: Complicaçõesunclassified

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Tratamento da pseudartrose infectada da tíbia pelo método de Ilizarov: técnica do encurtamento agudo com subseqüente alongamento

Borges¹,

Júnior²,

Kim³

et al. 2007

Rev. bras. ortop.

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Section: Discussionunclassified

“…A maioria dos autores que utilizam o método de Ilizarov acredita que é difícil o tratamento da pseudartrose infectada da tíbia com perda óssea maior que 3cm (5)(6)(12)(13)(14)16) .…”

Section: Complicaçõesunclassified

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Tratamento da pseudartrose infectada da tíbia pelo método de Ilizarov: técnica do encurtamento agudo com subseqüente alongamento

Borges¹,

Júnior²,

Kim³

et al. 2007

Rev. bras. ortop.

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“…Distraction histogenesis [25,[28][29][30] techniques and methods using external fixation for gradual correction have dramatically expanded the options available for the treatment of tibial non-unions and associated bone defects [1,2,[9][10][11][12]23,[31][32][33][34][35] . These methods, pioneered by Ilizarov [29,32] , have been used successfully outside Russia for over 30 years [1,2,15,16,[34][35][36] .…”

Section: Introductionmentioning

confidence: 99%

Bone transport versus acute shortening for the management of infected tibial non-unions with bone defects

Tetsworth

Paley

Şen

et al. 2017

Injury

102

113

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“…Previous studies did not perform integrated fixation techniques, making the comparison of external fixation index in the literature limited. The external fixation index for classic tibial Ilizarov reconstruction has ranged from 48 days/cm to 75 days/cm for a mean tibial defect of 4.7 cm to 6.5 cm [5,7,14].…”

Section: Discussionmentioning

confidence: 99%

Does Integrated Fixation Provide Benefit in the Reconstruction of Posttraumatic Tibial Bone Defects?

Bernstein

Fragomen

Sabharwal

et al. 2015

Clin Orthop Relat Res

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Background Limb salvage in the presence of posttraumatic tibial bone loss can be accomplished using the traditional Ilizarov method of distraction osteogenesis with circular external fixation. Internal fixation placed at the beginning of the consolidation phase, so-called integrated fixation, may allow for earlier removal of the external fixator but introduces concerns about cross-contamination from the additional open procedure and maintenance of bone regenerate stability. Questions/purposes Among patients deemed eligible for integrated fixation, we sought to determine: (1) Does integrated fixation decrease the time in the external fixator? (2) Is there a difference in the rate of complications between the two groups? (3) Are there differences in functional and radiographic results between integrated fixation and the traditional Ilizarov approach of external fixation alone? Methods Between January 2006 and December 2012, we treated 58 patients (58 tibiae) with posttraumatic tibial bone loss using the Ilizarov method. Of those, 30 patients (52%) were treated with the ''classic technique'' (external fixator alone) and 28 (48%) were treated with the ''integrated technique'' (a combination of an external fixator and plating or insertion of an intramedullary nail). During that period, the general indications for use of the integrated technique were closed physes, no active infection, and a healed soft tissue envelope located at the intended internal fixation site; the remainder of the patients were treated with the classic technique. Followup on 30 (100%) and 28 (100%) patients in the classic and integrated techniques, respectively, was achieved at a minimum of 1 year (mean, 3 years; range, 1-8 years). Adverse events were reported as problems, obstacles, and complications according to the One of the authors (ATF) lists the following relevant financial activities outside of this work and/or any other relationships or activities that readers could perceive to have influenced, or that give the appearance of potentially influencing, this manuscript: consultant for Smith & Nephew, Inc (Memphis, TN, USA), and Synthes (Paoli, PA, USA) in the amount of less than USD 10,000. One of the authors (SRR) lists the following relevant financial activities outside of this work and/or any other relationships or activities that readers could perceive to have influenced, or that give the appearance of potentially influencing, this manuscript: Smith & Nephew, Inc in the amount of less than USD 10,000. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research 1 neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDAapproval status, of any drug or device prior to clinical use. Each author certifies that his or her institution approved the human protocol for this investi...

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Compound tibial fractures with bone loss treated by the Ilizarov technique

Cited by 102 publications

References 0 publications

Tratamento da pseudartrose infectada da tíbia pelo método de Ilizarov: técnica do encurtamento agudo com subseqüente alongamento

Tratamento da pseudartrose infectada da tíbia pelo método de Ilizarov: técnica do encurtamento agudo com subseqüente alongamento

Bone transport versus acute shortening for the management of infected tibial non-unions with bone defects

Does Integrated Fixation Provide Benefit in the Reconstruction of Posttraumatic Tibial Bone Defects?

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